Individual
KEVIN D GREVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
9000 W SURA LN, GREENFIELD, WI 53228-3477
(414) 246-6800
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3593
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100004979
—
WI
Enumeration date
08/12/2009
Last updated
08/12/2024
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